Management Of Clients With Burn Injury

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Question 1
Free
Multiple Choice

The nurse would explain to a client that when a major burn occurs, the body's initial systemic responses include

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A

elevated pulse rate, decreased cardiac output, and polyuria.

B

increased capillary permeability, decreased cardiac output, and oliguria.

C

plasma leakage into surrounding tissue, decreased hematocrit, and oliguria.

D

production of epinephrine, vasodilation, and increased cardiac output.

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Question 2
Free
Multiple Choice

The nurse would perform close respiratory assessment for a client with inhalation injuries because lung tissue injury resulting from inhalation of smoke is caused by

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A

anoxia from lowered blood oxygen content.

B

carbon monoxide poisoning.

C

chemical action on lung tissues.

D

heat damage from superheated air.

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Question 3
Free
Multiple Choice

The nurse is caring for a client with burns covering the entire surface of both arms and the anterior trunk. Using the rule of nines, the nurse would estimate the percentage of burn surface area to be

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A

18%.

B

27%.

C

36%.

D

45%.

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Question 4
Free
Multiple Choice

A client admitted to the emergency department (ED) with burns of the chest and neck exhibits a wet, shiny, weeping surface with some blistering. The nurse would document these burn injuries as

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A

full thickness, fourth degree.

B

full thickness, third degree.

C

partial thickness, second degree.

D

superficial, first degree.

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Question 5
Free
Multiple Choice

When caring for a severely burned client, the nurse notes that the client's urine is dark brown. The priority action by the nurse would be to

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A

check the urinary catheter for patency and irrigate it if needed.

B

monitor vital signs more frequently to detect hypovolemia.

C

notify the physician immediately and request an order for urinalysis.

D

titrate intravenous (IV) fluids to maintain urine output of 75-100 ml/hour.

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Question 6
Multiple Choice

A client has a circumferential third-degree burn on the upper left arm. The nursing assessments specific for this client would include

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A
assessing capillary refill in the left hand.
B
evaluating left hand strength.
C
measuring left forearm circumference.
D
monitoring blood pressure in the left arm.
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Question 7
Multiple Choice

A 200-pound client is receiving fluid replacement in the emergency department after 35% of the client's body was burned. The nurse would anticipate fluid resuscitation of at least

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A
140 ml/hour.
B
14,000 ml in 24 hours.
C
63 ml/hour.
D
6364 ml in 24 hours.
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Question 8
Multiple Choice

The nurse doing a home safety assessment would conclude that the client at highest risk for burns sustained from clothing ignition during meal preparation is

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A
an 18-month-old toddler.
B
a 5-year-old child.
C
a 15-year-old teenager.
D
a 75-year-old adult.
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Question 9
Multiple Choice

The nurse teaching a class on burn injury prevention would stress that the leading cause of fire deaths is

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A
children playing with matches.
B
cigarettes igniting furniture.
C
kitchen fires igniting other combustibles.
D
space heaters igniting clothing.
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Question 10
Multiple Choice

The nurse would assess that the client with a "major burn" is

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A
60 years old with a 20% burn.
B
32 years old with a 14 % burn.
C
18 years old with an 18% burn.
D
10 years old with a 15% burn.
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Question 11
Multiple Choice

When admitting a client who has sustained a burn injury, the nurse would inoculate against tetanus if the client has

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A
been inoculated in the last 6 years.
B
open wounds with copious debris embedded.
C
second-degree burns with broken blisters.
D
third-degree burns.
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Question 12
Multiple Choice

The nurse would assure a family member that for the first 24 hours after a burn injury, pain is kept to a minimum by administering

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A
intravenous narcotic agents.
B
liquid narcotics via a nasogastric tube.
C
narcotics via an intramuscular route into nonburned tissue.
D
tepid soaks and oral morphine.
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Question 13
Multiple Choice

The nurse caring for a burn client would monitor the client's stools for occult blood as assessment for development of

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A
bleeding caused by bowel distention.
B
gastric irritation related to smoke.
C
intestinal ileus.
D
stress ulcers.
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Question 14
Multiple Choice

The nurse caring for a client with burns over 40% of the body notes a hematocrit of 55% at 12 hours after the injury. The nurse would explain that this finding is related to

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A
cellular debris from burned tissue.
B
decreased intravascular fluid.
C
increased red blood cell (RBC) production.
D
presence of carboxyhemoglobin (COHb).
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Question 15
Multiple Choice

A client suffered what seems to be a moderate electrical burn from contact with household electricity. However, the physician wants to admit the client for monitoring. When questioned about this decision, the best answer by the nurse is

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A
"I am not sure but I can find out for you."
B
"It is our protocol that all electrical burns get admitted."
C
"With household current, there is great risk of cardiac rhythm problems."
D
"You need to be watched for fractures that can occur under normal use."
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Question 16
Multiple Choice

The nurse would stress to the ancillary staff that the most important means of preventing the spread of infection in the burn unit is

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A
prophylactic antibiotics.
B
restricting visitors with respiratory tract infections.
C
strict hand-washing.
D
using clean gowns, gloves, and masks.
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Question 17
Multiple Choice

The physician orders 1% silver sulfadiazine cream applied to a client's burn wound two times daily. The nurse would be aware that this medication can affect

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A
blood pH.
B
hemoglobin level.
C
serum electrolyte levels.
D
white blood cell count.
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Question 18
Multiple Choice

A client's burn wound is being treated with enzymatic debridement. At this time the nurse would assess the client for

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A
allergic reactions.
B
bleeding from the burn wound.
C
increased fluid loss.
D
serum electrolyte imbalances.
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Question 19
Multiple Choice

To reduce contractures of the knee in a client with extensive burns of the knee and mid-leg, the nurse would position the client with the knee

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A
extended.
B
flexed.
C
adducted.
D
abducted.
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Question 20
Multiple Choice

The nurse teaching a home safety course would emphasize that because of growth and development factors, toddlers are most at risk for burn injuries caused by

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A
cigarettes.
B
electricity.
C
flame.
D
scald.
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